Target sunken eyes and under eye hollows with advanced non surgical treatments at L’Atelier, Harley Street, London.
This creates a hollow or shadowed contour that can make the face look tired, drawn or older, even when you feel well-rested. As the tear trough becomes more pronounced, light reflects unevenly under the eyes, deepening shadows and exaggerating the appearance of fatigue.
This change is often linked to natural ageing, thinning skin, reduced collagen, genetic facial structure or lifestyle factors such as dehydration, stress or lack of sleep. While common, sunken eyes can impact confidence and make the entire face appear less vibrant.
At L’Atelier Aesthetics, we take a personalised and clinically-led approach to restoring the under-eye area. By assessing both the structural and skin-related causes of hollowness, we tailor a treatment plan that lifts, supports and smooths the tear trough. Our goal is natural, refreshed results that brighten the under-eye region and restore a well-rested, rejuvenated appearance.
Sunken eyes refer to a loss of fullness beneath the eyes, creating a hollowed contour from the lower eyelid to the upper cheek.
They’re often caused by:
Volume loss in the tear trough
Reduction in fat and support beneath the eye, leading to a deeper crease.
Thinning of the under-eye skin
As collagen and elastin reduce, the skin becomes more delicate and contour changes become more visible.
Changes in bone structure with age
Natural bone recession can worsen hollowness and shadowing.
Genetic factors
Some people naturally have deeper-set eyes or a prominent tear trough.
Lifestyle and external factors
Lack of sleep, dehydration, stress, illness and weight loss can accentuate the hollowed appearance.
Every case of sunken eyes is different. After your consultation, we’ll recommend the most suitable treatment or combination to restore support and brighten the under-eye area.
Dermal fillers are one of the most effective ways to correct under-eye hollows.
By carefully restoring lost volume, fillers smooth the tear trough contour and reduce shadowing, giving the eyes a rested and refreshed appearance.
While Botox does not add volume, it can help when muscle activity is worsening the under-eye hollow.
Relaxing specific muscles around the lower eyelid can soften a harsh contour and reduce downward pull, creating a smoother, more open appearance.
Polynucleotides help strengthen and revitalise thin under-eye skin.
They boost collagen, improve elasticity and support the delicate tissue that often makes hollows appear deeper.
Juläine stimulates long-term collagen production to strengthen the support structure beneath the eyes and upper cheek.
This helps to soften shadows and lift the area naturally over time.
Skin boosters hydrate and smooth the under-eye area, improving brightness and reducing the crepey texture that can exaggerate a hollowed appearance.
When skin laxity contributes to a sunken appearance, Morpheus8 or Sofwave can help tighten and lift the lower eyelid area.
This supports the under-eye contour and improves the transition into the cheek.
Sunken eyes are usually caused by volume loss in the tear trough, thinning under-eye skin, reduced collagen, genetic facial structure or lifestyle factors such as dehydration, lack of sleep or stress.
Dermal fillers are the most effective option for restoring lost volume.
Polynucleotides, skin boosters and Juläine help improve skin quality and support.
Sofwave and Morpheus8 can be recommended when skin laxity is contributing to the hollow.
Botox may also be used when muscle activity worsens the under-eye contour.
Dermal fillers remain the most effective option for deeper folds.
Polynucleotides, Juläine and skin boosters can improve skin quality, while anti-wrinkle injections help when muscle pull contributes to a downturned mouth.
Skin-tightening treatments like Morpheus8 or Sofwave may be recommended if laxity is significant.
Yes. Tear trough fillers can restore volume, smooth hollows and reduce shadowing. When performed with precision, they create a refreshed, natural result without heaviness.
Dermal fillers: 9–18 months
Polynucleotides: 6–12 months
Skin boosters: around 6 months
Juläine: 12–24 months
Skin tightening (Morpheus8/Sofwave): 1–2 years
Your clinician will guide you on the best maintenance plan.
Botox doesn’t add volume, but it can help if strong muscle activity is worsening the hollow. It is often used alongside fillers or regenerative treatments.
No. At L’Atelier, we use a conservative and precise technique to avoid puffiness. The goal is subtle, well-supported contouring that looks refreshed, not overfilled.
Most people experience minimal downtime. Mild swelling or redness may occur for 24–48 hours, depending on the treatment.
Not always. Sunken eyes are caused by hollowness from volume loss. Dark circles can be due to pigment, thin skin, vascular visibility or shadows. Many clients have a combination of both.
Yes. Combination plans often give the most natural, long-lasting results, for example, dermal fillers with polynucleotides, or skin boosters with tightening treatments.
At L’Atelier, we focus on treating the cause of sunken eyes rather than just improving the surface. During a detailed assessment, we look at the factors contributing to under-eye hollowness, such as volume loss, thinning skin, reduced collagen, muscle activity and natural facial structure. With this understanding, we create a personalised treatment plan that restores support, smooths the tear trough and brightens the under-eye area for natural and long lasting improvement.
Dr Duncan Brennand is the Lead Aesthetic Physician at L’Atelier Aesthetics with extensive experience in advanced injectable treatments and under-eye rejuvenation. He specialises in restoring support and brightness to the tear trough area, making him highly skilled in treating sunken eyes and age-related volume loss.
With a precise and natural approach, Dr Brennand uses dermal fillers, bio stimulators and skin improving treatments to smooth hollows and reduce shadows without altering your expression. During your consultation, he will assess your under-eye structure and create a personalised plan designed to deliver subtle, long lasting rejuvenation.
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